Multiple endocrine gland dysfunction occurring together, including autoimmune polyglandular syndrome and multiple endocrine neoplasia (MEN). Type 1: Addison's disease, hypoparathyroidism, candidiasis. Type 2: Addison's disease, hypothyroidism, Type 1 diabetes. MEN syndromes involve tumors in multiple endocrine glands. Complex disorder requiring management of multiple hormonal abnormalities.
Life-threatening complications or during acute crisis management
Severe multi-gland dysfunction with frequent crises or hospitalizations
Multiple glands affected with significant dysfunction despite treatment (evaluate each manifestation separately and combine: Addison's, diabetes, hypothyroidism, hypoparathyroidism, etc.)
Two affected glands with moderate dysfunction, or single gland with severe dysfunction
Single affected gland with mild dysfunction
Asymptomatic or all conditions well-controlled
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how polyglandular syndrome affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for polyglandular syndrome, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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